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Hey Im 24, female, uk .. i had the same thing happen to me yesterday, was cleaning my cat (brushing fur) and suddenly this happened. I phone emergency doc and they have no clue what im talking about! im worried as my cousin died at 32 of an anurysm and dont want that to be the case for me
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I have had this problem off and on for a few years. Sudden sharp, sting like pain in my finger or palm. Then bruising. The pain lasts a few minutes then the bruise clears up in about 24 to 48 hours. I have not found any consistent cause or reason.

I have not told my doctor since it goes away so fast but as there are quite a few people with the exact same problem I contend that the medical profession does not know what this is and is just blowing us off.
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You should all get tested for Cold Agglutinin disease. Drs. are just becoming aware of it. They say 1 in 300,000 people get it (I have it) but from what I am reading there are many more just undiagnosed because the drs. don't know about it. Good luck. P.S. One of the tests is called a Coombs blood test. There are two parts, a direct Coombs and indirect Coombs. This will tell alot.
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Glad to have found this board, because I was wondering if anyone had any answers to this phenomenon.

I am about to qualify as a doctor, so here are my thoughts;

This Happened to me earlier in the week when I picked up my bag. The vein at the middle finger, first joint popped and was painful. It later calmed a little and resolved over 2-3days. Then, a day later and it happened again.

I think you have basically all figured it out. The vein is popping for some reason. Afterwards you get a bruise (which is a collection of blood) and its resolves over a few days. You may notice that the colour of the bruise changes like any other bruise.

I find it interesting that many of you experience this on one of the middle or ring fingers. Mine occurred on the middle finger as well. This leads me to wonder if the veins in these fingers are more fragile. My reason for thinking this is because these are the longest fingers on the hand (some people have larger ring than middle fingers and visa versa). If there is some fragility of the vein, in most of you it is likely to be benign and not worth worrying. I think if you had some major condition causing it you would know about it because it would manifest itself in other ways. If you do have other symptoms that started in relation to it it would be worth telling your doctor.

Someone mentioned Achenbach's syndrome. What most of us seem to be describing is not Achenbachs's. Achenbach's is about getting blood blisters on the palms of the hands, not bruising and veins popping.

One thing I noticed is that some of you are getting worse bruises than others. So basically a bruise is a collection of blood in the tissues beneath the skin. If you get too much blood under there, there isn't a lot of space for it to go. It will cause pain because of pressure on the nerves and so on. My advice to you would be this: if the parts of your finger further away from the bruise (more towards the tip of your hand/foot) become numb and the bruise makes your finger/toe throb badly, you should seek urgent medical attention. If it resolves quickly, don't worry about it. The numbness is caused by the pressure the bruise is putting on your nerves, if this pressure persists I think it could cause damage.
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%-) I have a problem here with my middle left hand finger swelling on the finger tip joint. It started with reddish like pinple and it started itching so I tried to squeeze it and then it started swelling hence then. at the moment it is just a small rounded when I look at my hand I can easily make out that there is a swelling there on my finger. Is it dangerous sign. Is it curable ? Will it just go away ? I have shown to our local doctor and he have given me medicine but it seems to be not effective. Thanking you.
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I finally found this post. Thank you ..

I am a 38y.o. Male Smoker. I first experienced my "red palm itchy bruising" about 4 months ago.

I do not suffer from anything on the fingers...my complaints are only on the palms and bottom of feet.

I do not suffer from any pain per se, but a slight soreness if I push on the redness.

I do suffer from extreme itchiness.

Mine occur 24-36hrs after I have put pressure on my palm from something. Perhaps a using a screwdriver strenuously, perhaps pushing closed something that had a little nib that pushed into my palm, perhaps opening a very tight jar. Basically anything that would have been a momentary pressure that if you looked at immediately after would have caused a slight dent or impression in the palm. In the case of feet, if I am barefoot and step on a pebble or stick or something (not breaking the skin, just pressing into the skin)

The interesting thing here is that I do not suffer symptoms immediately...instead, it takes about 24-36hours after doing this mindless little act (like using a screwdriver) before my symptoms will present.

I do not suffer from black/blue/purple .. mine start as red patches which looks exactly like the object that originally pressed into my palm...and begins to itch like mad .. then as the red itchy bruise progresses, it fans outward causing MORE itchy AREA but now it looks less like the original object but still remains red and does not turn colors, only outward position. After about 3 days, the red itchy area has fanned all the way out and everything is back to normal.

I now try to be more mindful, and wear gloves with padding when I feel that I may be in a situation where I might cause pressure on my palms.

The joke in my family is that I call it "my stigmata" since it originally presented out of nowhere on both palms has red itchy spots about the size of a dime in the dead center of my palms. Then I realized that 2-days earlier I had been unscrewing very tight screws with one of those little "jewelers" type screwdrivers.
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I emailed a Dr friend who specializes in Pediatric Arthritis about my unique situation... which I describe below .. and she replied with "Pressure urticaria (PU)" ..

I hope this helps.

MY ORIGINAL EMAIL TO THE DR BELOW:
-------
I am a 38y.o. Male Smoker. I first experienced my "red palm itchy
bruising" about 4 months ago.

I do not suffer from anything on the fingers...my complaints are only on
the palms and bottom of feet.

I do not suffer from any pain per se, but a slight soreness if I push on
the redness.

I do suffer from extreme itchiness.

My symptoms occur 24-36hrs after I have put pressure on my palm from
something.
Perhaps a using a screwdriver strenuously, perhaps pushing closed
something that had a little nib that pushed into my palm, perhaps
opening a very tight jar. Basically anything that would have been a
momentary pressure that if you looked at immediately after would have
caused a slight dent or impression in the palm. In the case of feet, if
I am barefoot and step on a pebble or stick or something (not breaking
the skin, just pressing into the skin)

The interesting thing here is that I do not suffer symptoms
immediately...
instead, it takes about 24-36hours after doing this mindless little
act (like using a screwdriver) before my symptoms will present.

I do not suffer from black/blue/purple fingers or colorations..
My symptoms start as red patches which looks exactly like the object

that originally pressed into my palm...and begins to itch like mad ..
then as the red itchy bruise progresses, it fans outward causing MORE
itchy AREA but now it looks less like the original object but still
remains red and does not turn colors, only outward position. After about
3 days, the red itchy area has fanned all the way out and everything is
back to normal.

Because my main complaints are red and itchy, I'm thinking it's related
to nerves rather than circulation.

Obviously, the million dollar question is this something that is an
early sign of something more serious? Have you heard of anything like
this? Things that have come-up when searching on-line have been Reynauds Phenomenon, M.S, Achenbach Syndrome, Cold Agglutinin

I now try to be more mindful, and wear gloves with padding when I feel
that I may be in a situation where I might cause pressure on my palms.

The joke in my family is that I call it "my stigmata" since it
originally presented out of nowhere on both palms has red itchy spots
about the size of a dime in the dead center of my palms. Then I realized
that 2-days earlier I had been unscrewing very tight screws with one of
those little "jewelers" type screwdrivers.

***edited by moderator***web addresses not allowed
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Hi I am 19 female in Australia and this happened to me two weeks ago and again yesterday. The first time I was sitting at my desk at work when all of a sudden my right big toe started killing me like some sort of sting but i wasn't bitten and i didn't twist or bang it or anything, I can also liken the pain to feeling like the vein in my toe had exploded, which after reading these posts I realise this could be a possibility. After about 5 minutes the pain stopped and I could see the blue-ish tinge under the skin of a bruise begining and through out the day a full blown quite large black bruise developed. After the initial stinging/bursting pain stopped it was sore to walk and to push on on the left side of the toe where the bruise was. Over the next few days the bruise faded like any bruise and the pain stopped. i thought it was very odd and wasn't sure what to do as everyone I talked to about it just said "well you must have done something to it" and so the only thing i can think of would be wearing high-heels on the weekend previous but that was 3 days before the sudden pain.
Then yesterday (about a week and a half after the first time) it happened again, in the same toe but on the underside of the toe this time rather than on the side. This time I was standing in the shower so I'm assuming the standing brought it on again. The same thing, the toe just started killing like a vein bursting or a sting feeling (but under the skin rather than the outside). And the toe became swollen and I could see the skin turning white from the pressure pressing on it from under the skin and at the site of the most pain I could feel like a hard lump like a rock under there. Then the bruise continued to spread to both sides of my toe. The initial pain again only lasted 5-10 minutes but was excruciating and was very sore to walk/press on afterwards and is still sore and slightly swollen today.
When this first happened to me I automatically suspected some sort of clot or enlarged vein like most of you are saying. I'm now quite worried that this could be a symptom of some other condition...and if no one else has any answers I doubt if my doctor will have any and I may have a condition going undiagnosed!! Also I'm worried because I seem to be alot younger than the other people posting here who are in their 40's (although not everyone has stated their age).
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I have had this happen to me for the second in one month. The first time I thought I might have been bitten by a spider or pricked by a thorn during gardening. I felt a sting in my right ring finger, it got pins & needles and began swelling. Within 5 minutes the palm side of the finger was completely black and blue. The finger felt like it was sprained and I could hardly bend it. Same symptons the second time. The brusing lasted for a couple of days both times.

I went to the doctor on the second occurrence just this week and had an x-ray taken which showed no broken bone or soft tissue damage. BP at this visit was 110/80. I have never noticed a major clotting problem like nicking myself after shaving, etc.

Very interested to come across others who have experienced this and I have been completely baffled and friends and co-workers think I'm crazy!
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What some of you may be describing is called acute paronychia. It's quite common -- but can be serious. What happens is that a fairly common bacteria gains entry thru a small breech in the skin, and causes a localized infection.

It's easy to self-diagnose: Acute paronychia presents as a painful edema (swelling) of the cuticle of your finger or toe nails. You may also see see an erythematous border (redness) around the the nail bed, or cuticle. If the swelling is white, that generally indicates purulence (pus) is present. Soaking your finger in warm water, several timed daily, is the recommended self-treatment. Do not attempt to lance the infection yourself. See a physician as soon as possible.

The reason is that the causitive pathogen in this case is usually staphylococcus aureus. IN other words, you have a staph infection. Not to frighten anyone unduly, but this is the bacterum which can also cause MRSA (Methecilin Resistant Staphylococcus aureus). You many know it as the "flesh-eating bacteria."

Acute paronychia is typically treated with a 10-day course of antibacterials -- usually cephalexin or dicloxacillin.

As I said, see a doctor as soon as possible.







with purulence acute paronychia
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What some of you may be describing is called acute paronychia. It's quite common -- but can be serious. What happens is that a fairly common bacteria gains entry thru a small breech in the skin, and causes a localized infection.

It's easy to self-diagnose: Acute paronychia presents as a painful edema (swelling) of the cuticle of your finger or toe nails. You may also see see an erythematous border (redness) around the the nail bed, or cuticle. If the swelling is white, that generally indicates purulence (pus) is present. Soaking your finger in warm water, several timed daily, is the reccomened self-treatement. Do not attempt to lance the infection yourself. See a physician as soon as possible.

The reason is that the causitive pathogen in this case is usually staphylococcus aureus. IN other words, you have a staph infection. Not to frighten anyone unduly, but this is the bacterum which can also cause MRSA (Methecilin Resistant Staphylococcus aureus). You many know it as the "flesh-eating bacteria."

Acute paronychia is typically treated with a 10-day course of antibacterials -- usually cephalexin or dicloxacillin.

As I said, see a doctor as soon as possible.
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As with many others posting here, I have problems mostly with my middle fingers. After gripping something such as a broom, the vein in the finger will react with a painful swelling. My initial reaction is to stick the painful area in my mouth as a child would do, which causes an even more extreme pain...I've learned to not do that. I also have cold hands and feet and a slow heart rate, however, my blood pressure is no longer low, as I have polycystic kidney disease. It used to be nice and low. I have read about Raynaud's phenomenon, but I don't think I fit that description, although my nails have ridges as the symptoms for Raynaud's describe.
Does anyone else here have problems with nosebleeds? I get them now and then for no apparent reason. I'm wondering if there is a connection.
I am a 53 year old female in good shape with good cholesterol. My potassium and phosphorus have to be watched because of the kidney disease.
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I have created a place to gather information on this condition.
I invite you all to follow the link provided here to fill a survey on it.

By finding commonality among a group of patients we may have a look into
the possible causes of this rare syndrome.
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WIKIPEDIA DEFINITION OF "Paroxysmal hand hematoma" a/k/a "Achenbach Syndrome"

"From Wikipedia, the free encyclopedia
Paroxysmal hand hematoma (also known as "Achenbach syndrome") is a skin condition characterized by spontaneous focal hemorrhage into the palm or the volar surface of a finger, which results in transitory localized pain, followed by rapid swelling and localized blueish discoloration"

This sounds like what everybody has been experiencing. That other one has to do with fingernails, or fingernail beds, or palms of hands; but for the original posting and what most are posting about, (and which I experienced for the first time this evening on my left forefinger where the bottom part is very swollen, the middle a little swollen and I can't bend it more than 1/4 of the way. This came on suddenly and without any provocation. The definition, above, is exactly what is happening with my finger. Since it happened about 1/2-hour ago, I'm waiting to see if it's going to last, like many have mentioned, a few days to a week. I put ice on it - couldn't even feel the ice, so there's numbness as well.

The blood-clotting thing that someone spoke of isn't relevant in this case as it has to do with the fingermail bed.

If anyone needs to lower their platelets (again, not related to the above-defined syndrome), please donate them at your local blood donation center, or some hospitals will have aphereses machines. I am a regular platelet doner, it takes between 1.5 to 2 hours, you can watch movies, they bring you food - you are queen or king for a couple of hours and saving human lives while you are at it. They regenerate in about 3 days, but the blood bank where I donate says they still like you to wait 2 weeks before donating again. You can donate a single, double or triple, depending on your platelet count which they get from the finger pinch test they take (to check your iron count also). It's a really good feeling and from someone who used to be deathly afraid of needles, after the second or third time (if you are a chicken like I was) don't worry about it - honestly, it becomes like you want to watch the needle go in. I learned a lot from the nurses about the machine itself, how platelets help, how much they need platelet doners -- especially on holiday weekends when there are so many drunk drivers and accidents happening where surgeries will require platelets (they mix the platelets in with the plasma from you as well). ALSO, you're getting a free blood test every time you donate (for me, it's every two weeks except when I'm on a small break) for about 8 years now, so you'll know how you're doing for free!

Anyways, back to the original subject, I am totally and completely satisfied with Wikipedia's definition as what I am experience and am not going to worry about it. (Heck, I have 5 special needs cats I have to worry about here! >^..^<)

I hope this helps - some people wrote so long ago I'm guessing they'll never read this.

Have an awesome day/afternoon/night/sleepy-sleep and awake refreshed! :O)
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Hi,
I'm 39 F from Australia of good health with a good diet also take all my essential vitamins & minerals & anything else my naturopath bottles up for me lol!. I exersize a 3-4 times a week, drink 2 ltrs+ of water p/d & am at the bottom end of a normal BMI ( 20 ) blood pressure is usually around 120/70 pulse rests at about 68 p/m. I've had this bruising in my finger & thumb joints palm side & occasionaly in my toes too off & on for years now a few times a year & like others have been to Dr's who shrug it off & treat it as a bump or similar injury. Am interested to see that so many others also have this & still no answer?. Has anyone here had a Antinuclear Antibody Test?. Or does anyone suffer lupus? I've not been tested for this but think maybe I'll do so, My full blood count & 2 pages of other tests all came back normal range. My sister has Raynaud's disease maybe I do too? I do get cold hands & feet. This is one thread I'm very interested in following. I too am worried that it may be some type of blood clotting that could cause a stroke or heart attack or something & would like some answers & if it's not too much to ask for a cure would be great too :-D
Oh & I'm here searching now coz my thumb is currently very sore, hot, throbbing & sporting a huge blue & purple bruise from ?? well that's what we are all trying to find out :-)
Thanks in advance for any idea's.
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